Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK.
Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, UK.
Injury. 2021 Oct;52(10):2760-2767. doi: 10.1016/j.injury.2021.09.012.
Perilunate dislocations (PLD) and perilunate fracture dislocations (PLFD) are high-energy injuries which can result in long-term complications and significant disability. Early identification of these injuries, followed by prompt, appropriate management is key to optimising patient outcomes. Knowledge of the carpal anatomy is essential in order to understand the varied patterns of injury and plan appropriate definitive management. Emergent reduction and close monitoring of the median nerve, followed by prompt stabilisation or repair of the injured structures remain the mainstay of treatment. In this review, we present a summary of the current evidence regarding the identification and management of these complex injuries.
舟月骨脱位（PLD）和舟月骨骨折脱位（PLFD）是高能损伤，可导致长期并发症和显著残疾。早期识别这些损伤，并及时、适当的处理是优化患者结局的关键。了解腕骨解剖结构对于理解各种损伤模式和计划适当的确定性治疗至关重要。紧急复位和密切监测正中神经，然后及时稳定或修复受伤结构仍然是治疗的主要方法。在这篇综述中，我们总结了目前关于这些复杂损伤的识别和处理的证据。
